| NPI | 1275187676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2296565) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA RN2296565) |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2021-08-17 |